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: 0942210
Sex: F
Age: 22
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Unknown

Allergies: Shellfish

Symptoms: Noted lethargy, patient reported 'throat feels like closing'. Pt given Epi 0.3 mg IM at start of reaction. IV placed and diphenhydramine 50 mg IV given 4minutes after Epi 0.3 mg IM dose given. Approximately 12 minutes after reaction onset patient reported continued feeling of throat swelling and nausea with retching . Pt given Epi 0.3mg IM to left deltoid. Pt transferred to ER via EMS. EMS response time approximately 11 minutes. Pt felt somewhat better after 2nd dose of Epi 0.3 mg IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0942211
Sex: F
Age: 48
State: VA

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

Lab Data:

Allergies: None

Symptoms: Headache and body aches relieved with Advil . Histamine release at injection site. Hard and red. Hypopigmentation

Other Meds: Flouxetine 20mg BID Olmesartan 5mg QD Allegra 180 mg Qam One a Day Womens multivitamin Nature?s Bounty Probiotic

Current Illness:

ID: 0942212
Sex: F
Age: 82
State:

Vax Date: 01/01/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient experienced 3 migraines in one day

Other Meds:

Current Illness:

ID: 0942213
Sex: F
Age: 51
State: FL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: After 2 days I started having pain under my armpit but did not feel ill. I was answering the text messages and there was not anywhere to document what was going on because I felt fine. I stopped getting the texts today so I couldn't talk with anyone about how swollen my lymph nodes under my arm is. I have not been able to get anyone on the phone to ask what to do. It is a very strange coincidence that my nodes are swollen for the first time in my life and the only thing that is different is that I received the vaccination.

Other Meds: tresiba, novolog, lisinopril, pantoprazole

Current Illness: none

ID: 0942214
Sex: F
Age: 61
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: glute, Zpak

Symptoms: About 3 hours after the vaccination, I began to feel itchy and my face became flushed. I had some hives on my arms. The symptoms went away after about half an hour.

Other Meds: Prednisone, Azathioprine, calcium/magnesium, fish oil, probiotic, Vitamin D

Current Illness: none

ID: 0942215
Sex: M
Age: 49
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Tree Nuts, Bactrim

Symptoms: Throat Swelling/ Itching

Other Meds: None

Current Illness: None

ID: 0942216
Sex: F
Age: 51
State: IN

Vax Date: 01/01/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Morphine

Symptoms: Migraine, chills, soreness at injection site, sore arm, nausea listed about 36 hours

Other Meds: Wellbutrin

Current Illness: None

ID: 0942217
Sex: F
Age: 42
State: MN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/11/21 - I had an a CT scan of my head to rule out any other medical issues - CT was negative and normal. 1/12/21 - I took a COVID test to make sure I didn't have the virus - my result was negative today 1/13/21 1/13/21 - I had and MRI - I am awaiting results. 1/14/21 - I am following up with my primary physician for a follow up and next steps because I still have the same symptoms.

Allergies: none that I am aware of

Symptoms: 1/8/21 - An hour after receiving the vaccine I experience a metal taste in my mouth that lasted throughout the day. 1/9/21 - I woke up at 4am the follow day after receiving the vaccine and my left side of my face was numb, I could still taste metal in my mouth, I had a headache and pain in my right arm. I watch my symptoms and checked to see if I was having a stroke, but nothing pointed to that. 1/10/21 - I still was experiencing the same symptoms from 1/9/21 with not increased or decreasing of symptoms. Watched them throughout the day but nothing changed. 1/11/21 - I continued to have the same symptoms and reported to the ED after work for the symptoms listed above with no improvement. 1/12 & 1/13 - I continue to have the same symptoms with no changes.

Other Meds: Lorsartin 50 mg, taken 1 daily

Current Illness: none

ID: 0942218
Sex: M
Age: 77
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: lisinopril 10mg simvastatin 20mg multi vitamin fish oil calcium

Current Illness: none

ID: 0942219
Sex: F
Age: 43
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, upset stomach, soreness at injection site, abdominal gas pain

Other Meds: Synthroid 88 mcg Vitamins Valocyclovir

Current Illness: None

ID: 0942220
Sex: F
Age: 36
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: "none"

Symptoms: Patient here for COVID vaccine per standing orders of Dr. COVID vaccine was administered. Within 4 minutes after administering the vaccine the patient became pale, hot, and had complaints of nausea. Patient was then taken to PCP office as the patient laid done, vitals taken bp 129/80 P 88 R 16 O2 Sat R/A 99%. Patient denied any chest pain and SOB, skim warm and dry to touch. steady gait noted and oriented x4. Report given to NP. Patient was seen by NP. After approx 60 min per NP okay for patient to go home. This writer advised patient if any SOB/Chest go to ER. Patient was given the V Safe and Fact Sheet forms, patient was released as she was feeling fine. This writer gave report to Dr. of the above. This writer will report adverse reaction to state agency.

Other Meds: UNKNOWN

Current Illness: "none"

ID: 0942221
Sex: F
Age: 43
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever up to 102.9 Chills Nausea and vomiting Earache Headache Backache For

Other Meds: None

Current Illness: None

ID: 0942222
Sex: M
Age: 58
State: MS

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Chills, headache, body aches, nausea, diarrhea, fatigue

Other Meds: Metformin 500 mg twice daily

Current Illness: N/A

ID: 0942223
Sex: F
Age: 74
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NONE

Allergies: Amoxicillin w/Clavulanate Potassium, Ciprofloxacin Hydrochloride, Co-Trimoxazole, Tartrazine Class, Mercuric Oxide, yellow, Cetylpyridinium Chloride, Azithromycin, Doxycycline Calcium, Meperidine, Cefuroxime Axetil, Monostat

Symptoms: received vaccine 11:30am 11:35am-felt warm rush on face and throat which was relived in 5sec or so Following that I had intestinal cramping that did not result in me needing to leave the waiting room for diarrhea. I left the waiting room at 11:55. One hour later, I had an extremely dry mouth & needed water. It resolved after drinking a bottle of water. At 4:30pm I started itching in my hands, feet, & entire body - itchiness was like prickles, not normal itching. Took Claritin which kept itching under control. I have taken Claritin 10mg daily for the last 5 days to keep itching under control. Today I am more itchy than yesterday.

Other Meds: Protonix 20mg 2x/day Simvastatin 10mg @ bedtime Alvesco 80mcg 1-2x/day

Current Illness: none

ID: 0942224
Sex: F
Age: 41
State: NV

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Severe Headache on 1/12/21 at 7:45 pm. Woke up with extreme muscle aches 1/13/21 at 5:30 AM. Pins and Needles sensation started at 1/13/21 at 6:20 AM. Fever of 101.9 (oral) noticed at 10:30 AM.

Other Meds: Ibuprofen 400 mg (2 hours prior to vaccine)

Current Illness: Nothing known

ID: 0942225
Sex: F
Age: 71
State: FL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: No medical treatment. It is slowly coming back. Still have no feeling in fingers but strength is slowly coming back

Allergies: Penicillin, nova-cane, dilaudid

Symptoms: Approximately 22 hours after I received the first vaccine my left arm from the elbow down to my hand went numb. No tingling just no feeling. Could not hold anything and no strength in that arm and hand.

Other Meds: Bystolic 10mg Prevasid 15mg Cyclobenzaprine 10mg Fluoxetine 20mg Rosuvastatin 5mg Valsartan 320mg

Current Illness: none

ID: 0942226
Sex: F
Age: 53
State: NY

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: The NP said cellulitis around the injection site. Red, swollen and hot to the touch, itchy. Prescribed antibiotics Kflex 500mg 1 tab bid x 7 days.

Other Meds: Lexapro, Xanax,

Current Illness: no

ID: 0942227
Sex: F
Age: 46
State: MD

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Grass pollen

Symptoms: Delayed maculopapular rash localized around injection site starting 1 week after vaccine administration. Mild itching. Persistent 24 hours later, larger area but still localized to the shoulder. Had local pain starting 2 hours after the injection, lasting for about 36h. No immediate skin reaction back then. (I am a physician)

Other Meds: Cabergoline 0.25 mg twice per week (Wednesday/Sunday) Vitamin D daily

Current Illness: None

ID: 0942228
Sex: F
Age: 30
State: TX

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No test performed. Physical exam sufficient

Allergies: Sulfa, toradol, Zofran

Symptoms: Erythema, swelling, and cellulitiss

Other Meds: None reported

Current Illness: None

ID: 0942229
Sex: F
Age: 26
State: KS

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None but if this persists will seek medical care 1/14

Allergies: No

Symptoms: Starting 1/13 at 1100 developed severe abdominal pain, unable to get relief even with taking tums and pepto bismol. No nausea or diarrhea.

Other Meds: Zyrtec, singulair, prenatal vitamin, calcium supplements, Pepcid

Current Illness: 4 weeks post partum

ID: 0942230
Sex: M
Age: 58
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Sulpher Pennicillin

Symptoms: Severe arm pain Fatigue No energy

Other Meds: Atorovastin Androgel Escitalopram

Current Illness: None

ID: 0942231
Sex: F
Age: 61
State: IL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Raised, red itchy area at injection site. Approximately 3??x 2??

Other Meds:

Current Illness:

ID: 0942232
Sex: F
Age: 33
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever of 101.3, body aches and headache. Lasted 6-9hours. Treated with Tylenol and Ibuprofen.

Other Meds: None

Current Illness: None

ID: 0942233
Sex: F
Age: 48
State: MN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Urgent care visit 1/8. Physical Exam done. Range of motion. Diagnosed with Sub-acromial Bursitis secondary to vaccine.

Allergies: erythromycin, stannous fluoride, lisinopril

Symptoms: The vaccine was administered too high on the shoulder. Within 2 hours a report was made. symptoms were pain, weakness, tenderness of shoulder joint and upper arm

Other Meds: Levothyroxin 150mcg and 175mcg on alternating days, previfem hrt, imvexxy 4 mg, atenolol, norvasc

Current Illness:

ID: 0942234
Sex: F
Age: 28
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The day after and the next day were filled with extreme exhaustion, dizziness, joint pain, and headache. I started to feel better until Jan 11, where I had extreme exhaustion, worse joint pain, extreme muscle aches and stiffness, worse headache, and the worst nausea. Since Jan 11, I haven't been able to eat much. The V-safe check in skipped the worst days so far.

Other Meds: Fluoxitine, venlafaxin, atorvasatine, vitamin B12, vitamin D3, zyrtec, meloxicam, nuva-ring generic, metoprolol

Current Illness: None

ID: 0942235
Sex: F
Age: 21
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: experienced upper lip swelling, numbness, and tingling

Other Meds:

Current Illness:

ID: 0942236
Sex: F
Age: 51
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Tryptase pending

Allergies: nuts, shellfish, legumes, beans, kiwi

Symptoms: Voice hoarseness tingling in feet jaw clenching

Other Meds: None

Current Illness:

ID: 0942237
Sex: F
Age: 63
State: OK

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: CTA showed 80% stenosis of R MCA. MRI head showed small, acute lacunar infarct in the R MCA distribution.

Allergies: sulfa, nicotine patch adhesive

Symptoms: She got the vaccine on Dec 23, and then on Jan 4 she had a mild stroke with left sided arm and face weakness. She did recover fully. She already has known CAD and risk factors for CVD. It is possible, but by no means certain, that the vaccine was an indirect cause of the event. Since the vaccine provoked an immune response, as it was supposed to, it is possible that this inflammation may have set up a metabolic predisposition that may have contributed to the event, which was 12 days later.

Other Meds: Aspirin, atorvastatin, citalopram, metoprolol, vitamin D.

Current Illness:

ID: 0942238
Sex: F
Age: 36
State: WA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 15 min after the vaccine was given, I felt dizzy, Light headed, feeling warm and then cold, chest tightness with mild shortness of breath, heart racing. It lasted for about 30 minutes. The symptoms subsided while sitting back in a chair and drinking 2.5 bottles of water. I was able to walk out and proceed with grocery shopping slowly. Have taken it easy the rest of the day but able to be upright. Now just fatigue, muscle aches, feeling cold, abnormal teeth and tongue sensation x 2 hrs). The rest of the symptoms just described continue this evening which i attribute to the covid vaccine.

Other Meds: Fish oil 4000 mg a day

Current Illness: None

ID: 0942239
Sex: F
Age: 43
State: GA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Rash, itching, burning, redness, swelling due to secondary skin infection caused by the COVID vaccination.

Other Meds: Wellbutrin, Lexapro, Abilify, Valsartan, Zyrtec, Flagyl.

Current Illness:

ID: 0942240
Sex: F
Age: 83
State: LA

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data:

Allergies: no known allergies

Symptoms: New onset altered mental status after fall. Per son, she was found in bed, unresponsive at around 12:15 AM on 1/10 by her husband. Brought to the emergency room and admitted, Began treatment for UTI w/ CTX. Discharged 1/11/21 with f/u appointments

Other Meds:

Current Illness:

ID: 0942241
Sex: F
Age: 54
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Insaids

Symptoms: Very fatigued, tired, injection site sore, heated, chills, headache, and body aches.

Other Meds: Doxycycline, benzonatate

Current Illness: Chronic Bronchitis, asthma

ID: 0942242
Sex: F
Age: 51
State: WA

Vax Date: 12/30/2020
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness at site on day 2 & 3 following inj. Jan 9 noticed site tender to touch and red. Sun Jan 10 dispersed with distinct border. Reported to provider Jan 13 redness spread to upper arm measuring 160mm. Provider ordering Covid-19 antibody. IgG. Pt feels she had covid in Jan 2020

Other Meds:

Current Illness:

ID: 0942243
Sex: F
Age: 43
State: UT

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Inflammation, swelling/hardness, redness, soreness at injection site. Strong fatigue. Onset of symptoms did not occur until a full week after the vaccine was administered. Diagnosed as cellulitis and treated with antibiotics.

Other Meds: metformin, Mirena IUD

Current Illness: none

ID: 0942244
Sex: F
Age: 51
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: allergy medication given once before in ER , some fruits, nuts

Symptoms: 11:00PM very tired and fatigued day of vaccination, left eyebrow 3 large bumps, 1 bump on forehead felt like pimples resolved in the AM arm pain to hand tongue was numb in AM and voice hoarse during the day to evening tongue numbness began to resolve and. Injection site was red and swollen welt at site where injection puncture 3-4 day rash on neck resolved later in day. All symptoms have resolved today

Other Meds: N/A

Current Illness: N/A

ID: 0942245
Sex: F
Age: 55
State: NC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Na

Allergies: Na

Symptoms: Lethargic Muscle fatigue

Other Meds: Na

Current Illness: Mild cold

Date Died: 12/21/2020

ID: 0942246
Sex: M
Age: 1
State: OR

Vax Date: 12/11/2020
Onset Date: 12/20/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Initial cap glucose- Undetectable 12/21/2020 12/21/2020 16:29(pm) Glucose- 37 mg/dL 12/21/2020 16:36(pm) Glucose- 46 mg/dL 12/21/2021 16:50(pm) Glucose- 244 mg/dL

Allergies: NKMA

Symptoms: On 12/20/2020, dad of patient called our office after hours. Nurse triage line took the call. Dad's reported that pt had a fever of 100.6 F (max temp) and hard stools. Pt was given a dose of Tylenol and 10-15 minutes later, pt vomited. Triage nurse advised that dad follow up with PCP office when open in the AM. Dad called our office at 10:25am on 12/21/2020 stating that pt fever had lifted, but pt vomited a total of 5 times since the night before, with the last episode at 7:45 am on 12/21/2020. Pt had adequate fluid intake and urine output and stool had softened. MA advised continued home care. Appropriate triage advice was given and documented. At 16:43(pm) on 12/21/20, dad called back to clinic stating patient symptoms had worsened and they were at the emergency department. Dad disconnected call before speaking with the MA. The MA attempted to call dad back, but there was no answer. A message was left for dad to return call. On 12/22/20 at 12:44(pm), dad called in to clinic to report that pt had died- cause unknown. Our clinic obtained records from Hospital. The ED report stated that pt presented to the emergency department via EMS Code 3 in cardiac arrest. Unknown downtime prior to the initiation of chest compressions. Pt was staying with grandparents. When grandma went to wake pt from his nap, he was not responsive. When grandma tried to pick him up, there was possibly some brief, generalized seizure activity as well as coughing and gagging. Child remained unresponsive and was taken by private vehicle to outside Urgent Care where pt was found to be apneic and in asystole. An AED was applied, no shock advised. EMS was called and CPR was started. EMS placed an endotracheal tube and established IO access. 4 rounds of epinephrine were administered during the course of the prehospital resuscitation which was approximately 15-20 minutes. Presenting rhythm was asystole. No change in rhythm upon transport and arrival. Immediately upon arrival the pediatric transport team was activated and the pediatric intensivist was paged. Chest compressions were resumed according to protocol. Additional inter osseous access was established in the left proximal tibia. Fluid bolus was initiated. Serial doses of epinephrine were administered every 4 minutes throughout the resuscitation. The child also received several boluses of IV bicarb. Online consultation by ED physician with PICU attending was established early in the resuscitation course. It was agreed by ED physician and PICU attending that the peds transport team would be dispatched urgently to the ED location in anticipation of possible ROSC and need for emergent transport to PICU. It was agreed by ED physician and PICU attending that transportation would not be initiated with the child still undergoing resuscitation requiring chest compressions prior to ROSC. Initially, endotracheal tube position felt to be acceptable based on the clinical evaluation, however chest x-ray did demonstrate some degree of right mainstem intubation, after which the tube was pulled back approx 2cm and subsequent x-ray showed the ETT tip in good position approx 1 cm above the carina. Initial end-tidal CO2 was 14 on arrival, this continued to trend downward until undetectable throughout the course of the resuscitation. At no point were there palpable pulses or other evidence of return of circulation throughout the resuscitation. Capillary blood glucose was initially undetectable. The child received serial boluses of D 25 via IO line for a tital of 30 g dextrose after which CBG ultimately came up to 244. Multiple efforts were made throughout the resuscitation to achieve IV access and to obtain blood for laboratory studies. All efforts were unsuccessful, making it impossible to obtain any labs throughout the course of the resuscitation. Attempts to obtain even capillary blood samples via heel stick for CBG measurements were extremely difficult. Resuscitation continued for 49 minutes after ED arrival. A total of at least 65 minutes of CPR time. Bedside ultrasound was used to look for cardiac activity during the last 5 pulse checks of the resuscitation, demonstrating cardiac standstill. Despite the efforts and interventions mentioned, ROSC was never obtained and the code was discontinued at 17:03(pm). The child's parents were informed of his death upon their arrival to the ED at approximately 17:40(pm). Family was given time with the pt. The medical examiner arrived and discussed case at 19:11(pm). At 19:49(pm) Medical Examiner was interviewing grandparents along with 2 County Detectives. The medical examiner took custody of the pt at 21:52(pm). Evidence bag was sent with the medical examiner. Pt received vaccinations 10 days prior to death. We are still waiting for M.E. report, as we do not have any further information as to why pt passed.

Other Meds: Enfamil Gentlease Formula

Current Illness: No known illness.

ID: 0942247
Sex: F
Age: 58
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Some shellfish, Codeine, Avocados

Symptoms: Chills, Headache, Feeling Unwell, Sore Arm

Other Meds: Multivitamin, Vitamin D-3, Zinc

Current Illness: None

ID: 0942248
Sex: F
Age: 47
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: n/a

Allergies: shrimp and table salt with iodine

Symptoms: approx. 19 mins after the injection my right arm began to feel a tingle sensation that radiated down to my hands and right side of my chest. Lips felt swollen but not visible to the eye. My right lower extremity had the same feeling as describe what happened to my right arm. I went to the ED of the hospital where I worked. This my second dose and I had the same experience with the first dose but on my left side.

Other Meds: none

Current Illness: seasonal allergies

ID: 0942249
Sex: F
Age: 35
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Day of shot had pretty extreme pain in the arm a few hours later into the night. Was pretty extreme next day - couldn?t move arm above head, hard to change in and out of clothes, etc. Following day still pain but maybe 10%better. Over weekend slowly got better. This Monday and Tuesday woke up with very slight pain but nothing that I had to adjust my everyday routine for like a I had the first few days so I thought I was in the clear. Then last night extreme pain back again. Can?t move arm/shoulder without pain. Can?t engage muscle without a lot of pain.

Other Meds: Methyldopa, multivitamin, calcium, Flonase

Current Illness: No

ID: 0942250
Sex: F
Age: 44
State: WA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tingling and odd sensation to jaw and face

Other Meds: Albuterol, atenolol, desonide, diclofenac, iron, ketoconazole, xyzal, robaxin, pimecrolimus, prednisone, kenalog,

Current Illness: None

ID: 0942251
Sex: F
Age: 45
State: IL

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

Lab Data: None

Allergies: Nickel

Symptoms: At 9 pm- I exhibited chills labs body aches. At 3 am I had difficulty swallowing and a swollen neck. The next day this continued with a fever of 99-100, malaise, and chest discomfort. At the 48th hour, today?s date, fever still present, body aches are improved, but my head feels hot and now with a stiff neck. I feel very tired and mental status seems ?foggy?

Other Meds: Naltrexone, Phentermine ,setraline, vitamin D, nexium, trulicity,

Current Illness: None

ID: 0942252
Sex: F
Age: 31
State: PR

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Iodine shellfish Cipro medication

Symptoms: Rash, hot area and prickly rash Nasal congestion

Other Meds:

Current Illness:

ID: 0942253
Sex: F
Age: 44
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Waves of nausea starting approximately 12.5 hours after vaccine dose received. General malaise and feeling "faint" though blood pressure, temperature, heart rate, respiration and pulse oximetry WNL.

Other Meds: multivitamins

Current Illness:

ID: 0942254
Sex: M
Age: 38
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Shellfish, tree nuts

Symptoms: Headache, soreness at injection site, nauseousness. Took motrin.

Other Meds:

Current Illness:

ID: 0942255
Sex: F
Age: 57
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: IV contrast dye

Symptoms: severe pain in right arm, and diffuse body aches, headache

Other Meds: None

Current Illness: None

ID: 0942256
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, Chills, severe body aches, sleepiness, arm soreness at injection site for about 40 hrs.

Other Meds:

Current Illness:

ID: 0942257
Sex: F
Age: 72
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Mild headache began 24 hours after vaccine Nausea began 31 hours after vaccine Vomiting began 32 hours after vaccine (1 episode of vomiting)

Other Meds: Amoxicillin, pantoprazole, meloxicam, montelukast, atorvastatin, baby aspirin

Current Illness: Dental abscess

ID: 0942258
Sex: F
Age: 66
State: AK

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NA

Allergies: sulfa, rubber, neoprene, Neosporin, all decongestants, lidocaine patch, Advil, albuterol sulfate, Allegra, amoxicillin/Augmentin, amitriptyline, bellergal, cafergot, ciprofloxacin, clindamycin, Darvocet, Darvon, demeral, desyrel, dilaudid, dolobid, equagesic, ergostat, esgic, fiorinal, hydroxyzine, ibuprofen, Imitrex, Inderal, Keflex, ketorolac/Toradol, lodine, midrim, migranol, Naprosyn, Norvasc, nurpin, parafon forte, prednisone, talwin, tylox, ultram, verapamil, Zoloft, zomig, dust mites, mice, grass, cat dander, dog dander, cockroaches, timothy grass, nettle, immunoglobulin E, sweet potatoes, peppers (red, yellow, gree, chili, or otherwise), raspberries, pineapple, kiwi, wheat, barley, and rye (the patient brought in this list). Also indicated an allergy to an injectable cat antigen.

Symptoms: Administered vaccine at 11:50 am. By 11:55am, the patient reported feeling flushed and warm. No outward signs of either. This reportedly lasted until 12:05pm. The patient was kept for a total of 45 minutes for observation before release.

Other Meds: Pepcid, baby aspirin, probiotic, Claritin, estradiol

Current Illness: diarrhea x 1 this morning

ID: 0942259
Sex: F
Age: 59
State: OH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: i had a normal ekg, abnormal tsh, going to do an ana, and sono of thyroid. not sure what other testing to do.

Allergies: pcn, biaxin, and newly discovered tromethamine

Symptoms: started with woozy head and extreme hyperactivity, followed by extreme fatigue, weakness, hunger, dizziness, chest pain, very jittery and the jittes get alot worse if i take my thyroid med. i have been unable to take them and i am now hypothyroid. the fatigue and weakness lasted a week. the chest pain and jitters continue today 3 weeks post vaccine. i am concerned for a possible heart attack or something. how long will these symptoms last? should i see my cardiologist? what should i do about thyroid medication?

Other Meds: synthroid 100 mcg and 112 mcg alternating qod, nexium 40mg qd, sonata 10mg 2 hs, restoril 15mg 1 qhs, xanax 0.5mg q hs, hctz 12.5 mg qd, asa 81mg 2 qhs, zyrtec 10mg qd, multi vit women over 50

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm