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: 0919598
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: erythromycin

Symptoms: tingling of the mouth

Other Meds:

Current Illness:

ID: 0919599
Sex: F
Age: 40
State: IA

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

Lab Data:

Allergies: Seasonal allergies only No medication allergies

Symptoms: Reports paresthesias and subjective sense of "numbess" of R lateral neck, face, R ear and temporal area of scalp within 30 min of vaccine that persisted x 90 min. Also reported transient "numbness" of R anterior thigh that resolved spontaneously after 30 min. No pruritic, urticaria, rash. No mucus membrane symptoms - no conjunctivitis, rhinitis or oral/perioral symptoms. No mucosal swelling or sense of swelling. No respiratory symptoms. No presyncopal symptoms. Vitals: BP 134/87, Pulse 103, sats 100%.

Other Meds:

Current Illness:

ID: 0919600
Sex: F
Age: 49
State: OR

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None needed

Allergies: Gluten Dairy

Symptoms: Very sore arm, required Tylenol Moderate fatigue Sore are resolved next day Fatigue continues

Other Meds: None

Current Illness: None

ID: 0919601
Sex: M
Age: 73
State: CO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: severe chills, joint aches , confusion, Next day, 1/1/21, fully recovered with no side effects

Other Meds: COQ10, one-a-day, One a day vitamin Hydrochlorot - 12.5 mg Omeprasole - 20 mg atyorvastin - 40 mg Nifedipine Travatan Z - one drop each eye

Current Illness: NONE

ID: 0919602
Sex: F
Age: 55
State: RI

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

Lab Data:

Allergies:

Symptoms: Stated she felt "light-headed" @ 1805. Denies being "light-headed" before vaccination. States that she felt the same way after she received her influenza vaccine this year. This nurse assisted Ee on bed in clinic for 15 mins. State she felt better @ 1830. Left observation @ 1830. V/S BP-122/76, P-56, O2-98.

Other Meds:

Current Illness:

ID: 0919603
Sex: F
Age: 29
State: TX

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Sore throat started yesterday, body aches, headache, fatigue, no fever

Other Meds: no

Current Illness: no

ID: 0919604
Sex: F
Age: 30
State: MS

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital: Y

Lab Data: Chest X-ray (12/30/20 @ 1737): The cardiac and mediastinal silhouette are unremarkable. The lungs are free of infiltrates and masses. I see no acute chest disease on today's film. CBC w/diff (12/30/2020 @ 1658) WBC: 9.0 RBC: 4.38 Hemoglobin: 13.3 Hematocrit: 39.8 MCV: 90.9 MCH: 30.4 MCHC: 33.4 RDW SD: 40.4 Platelet: 264 MPV: 9 NRBC Percent: 0.0 NRBC Absolute: 0.000 Absolute Neutrophil: 8.4 (H) Lymphocyte Absolute: 0.4 (L) Monocytes Absolute, Automated: 0.11 Absolute Eosinophil: 0.00 (L) Basophil Absolute: 0.03 Absolute Immature Granulocytes: 0.03 (H) Neutrophil percent: 93.6 (H) Lymphocyte percent: 4.6 (L) Monocyte percent: 1.2 Eosinophil percent: 0.0 Basophil percent: 0.3 Immature Granulocytes percent: 0.30 (H) CMP (12/30/2020 @ 1658) Sodium: 136 Potassium: 3.3 (L) Chloride: 106 CO2: 21 Anion gap: 9 Glucose: 137 (H) BUN: 15 Creatinine: 1.01 BUN/Creatinine Ratio: 14.9 Calcium: 9.2 Protein total: 7.9 Albumin: 4.6 AST: 12 ALT: 17 ALP: 50 eGFR non-African American: >60.0 eGFR African American: >60.0 Bilirubin total: 0.4 Magnesium: 2.0 TSH: 2.52 Cardiovascular (12/30/2020 @ 1658) Troponin: <0.015

Allergies: No known allergies

Symptoms: Presented to the ED after developing chest tightness, cough, lightheadedness, and throat closing sensation. She received the Moderna COVID-19 vaccine on the morning of presentation. Within 15 minutes of receiving the vaccine she developed pain and numbness, starting at the injection site traveling down the ulnar aspect of her arm, and nausea. Over the next several hours she continued to develop worsening nausea, chest tightness, cough, lightheadedness, and the sensation that her throat closing. She took PO Benadryl 25mg; however, her symptoms were not alleviated. She was subsequently evaluated in the ED. ? Received PO Benadryl 25mg, IV Benadryl 25mg, Epinephrine 0.3mg x 2, IV Famotidine 20mg, IV Solumedrol 125mg & 60mg, DuoNebs x 3, Racepinephrine x 1.

Other Meds: Amitriptyline 25 mg PO QHS Bupropion XL 150 mg PO Daily Cyanocobalamin 1000 mcg PO once weekly Ferrous sulfate DR 324 mg PO Daily Levothyroxine 100 mcg PO Daily Methocarbamol 500 mg PO TID prn muscle spasms Scopolamine 1.5 mg patch transder

Current Illness:

ID: 0919605
Sex: F
Age: 37
State: NC

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

Lab Data: N/a

Allergies: Penicillin, Pseudobrofimide.

Symptoms: After~50 minutes from receiving the vaccine, I experienced bilateral numbness of the ears, cheeks, and tongue. This lasted ten to fifteen minutes followed by mild itching of the ears, face, and neck. Upon returning home, contacted my primary physician to report the adverse reactions and self administered Benadryl which eliminated the s/s thus far.

Other Meds: Sertraline, Folic Acid, My Kind Organics Prenatal Vitamin, Montelukast, B12 shots, Adult Calcium Gummy, Dapsone, Adapalene.

Current Illness: Flue like symptoms two weeks prior, Flu vaccine on 12/9/20,

ID: 0919606
Sex: F
Age: 27
State: AZ

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID+ 12/21/2020

Allergies: None

Symptoms: Vaccinated as part of nursing home mass vaccination event on 12/18/2020. Staff of nursing home. Tested positive for COVID-19 on 12/21/2020. Ongoing exposure to COVID+ residents at the home. Minimal symptoms.

Other Meds: None

Current Illness: None

ID: 0919607
Sex: F
Age: 36
State: WA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Regina, dialudid

Symptoms: Swollen, red, hot, taut skin, onset 1/3/21, rx cephalaxin 7 days

Other Meds: Fish oil

Current Illness: None

ID: 0919608
Sex: M
Age: 53
State: MD

Vax Date: 12/01/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None.

Allergies:

Symptoms: Left side of face below eye and goes to the Botox. Of my lips has a numbing feeling.

Other Meds: Hydrochlorothiazide Metformin

Current Illness:

ID: 0919609
Sex: F
Age: 25
State: CA

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swollen lymph nodes on left collar bone

Other Meds: Multivitamins

Current Illness:

ID: 0919610
Sex: F
Age: 31
State: NE

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEVELOPED SWOLLEN LYMPH NODES AND SORENESS ON NECK AND JAW (LEFT SIDE). WENT TO THE ER AND IS FOLLOWING UP WITH MD ON 1/5/21

Other Meds:

Current Illness:

ID: 0919611
Sex: F
Age: 42
State: MD

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Nausea ,vomiting 48hrs fever 101 maxing out on Tylenol . Body aches Lethargy, Chills. Sore arm. Took anti nausea meds for 4 days.

Other Meds: Topamax 150mg qhs, Prilosec 40mg daily, Xyzal 5mg daily, Unisom 1 tab prn nightly, Citalopram 20mg daily, Bupropion 300mg daily, Albuterol as needed.

Current Illness: no

ID: 0919612
Sex: F
Age: 51
State: KS

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Not applicable

Allergies: None

Symptoms: Patient developed hives that worsened on 12/30/2020. Self treated with topical diphenhydramine cream at home.

Other Meds: Metoprolol, "Sleep-Aid", Acetaminophen PRN

Current Illness: None

ID: 0919613
Sex: F
Age: 69
State: AZ

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID+ 12/20/2020

Allergies: None

Symptoms: Vaccinated at mass vaccination event for nursing home staff and residents on 12/18/2020. Staff of nursing home. Developed cough and runny nose and tested positive for COVID-19 on 12/20/2020. Ongoing exposure to sister who lives with her and is also COVID+

Other Meds: None

Current Illness: None

ID: 0919614
Sex: F
Age: 50
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Had heart palpitations within two hours of vaccine, severe headache, body aches, fatigue and shortness of breath. Sore left arm all the way down arm. Rested and took ibuprofen. Today I returned to work still having headache

Other Meds: Took ibuprofen

Current Illness: None

ID: 0919615
Sex: F
Age: 47
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: Severe fatigue, abdominal cramping, fever 102.7

Other Meds: none

Current Illness: none

ID: 0919616
Sex: M
Age: 46
State: CA

Vax Date: 12/24/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Tested Tuesday Dec. 29 2020 at Employee Health. Received results back Dec. 31 2020. Tested positive

Allergies: Penicillin , Sulfa

Symptoms: No adverse side effects from vaccine. Just that after 5 days of receiving vaccine, I became infected with Covid-19. Started with symptoms Tuesday Dec. 29 2020 at 6am (Chills, severe body aches) I currently work in a jail setting with active covid-19 cases. Exposure to covid-19 at work high. Covid symptoms as of Jan. 3 2021 have been: mild headache, body aches, muscle stiffness, chills, sinus congestion/runny nose, mild cough, loss of taste/smell.

Other Meds: Atorvastatin, Fenofibrate, Lisinopril, Atenolol, Thiazide

Current Illness:

ID: 0919617
Sex: F
Age: 27
State: FL

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Just the visit at the hospital where they prescribed me lidocaine and valcyte.

Allergies: risperdal, codeine

Symptoms: The Sunday after I received the vaccine I had increased hip pain and Sunday night I had a rash anon the L2 and L3 dermatome. I thought it was shingles and made an appt. Overnight the rash spread and it was very painful, On Monday I got Volcite for 7 days and I still have rash (improving) and pain today.

Other Meds: Chlorhexidine and propranolol

Current Illness: No

ID: 0919618
Sex: F
Age: 22
State: WA

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

Lab Data:

Allergies:

Symptoms: dose given too early (day 14)

Other Meds:

Current Illness:

ID: 0919619
Sex: F
Age: 64
State: NE

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SHORTLY AFTER VACCINATION, DEVELOPED DIZZINESS, BILATERAL ARMS THAT FEEL "HEAVY". RECEIVED 25MG DIPHENHYDRDAMINE BY MOUTH. RESOLVED IN ABOUT 1 HOUR

Other Meds:

Current Illness:

ID: 0919620
Sex: M
Age: 81
State: WA

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

Lab Data:

Allergies: No

Symptoms: Decompensation and temp 103.6.

Other Meds: Mucus Relief Tablet 400 MG (GuaiFENesin) Give 1 tablet by mouth every 8 hours as needed for congestion Prescriber Entered Active01/02/202101/04/2021 Omeprazole Capsule Delayed Release 40 MG Give 1 capsule by mouth in the morning for GERD Ph

Current Illness: N/A

ID: 0919621
Sex: F
Age: 57
State: MT

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

Lab Data:

Allergies: none

Symptoms: right after the injection, I got really hot.Then I got very dizzy and shaky. I got a instant headache. I also had a chlorine taste in my mouth. I told the nurse I wasn't feeling well. she sat with me and was asking about how I was feeling. I the started trying to clear my throat. it felt like I had something in my throat. I kept trying to swallow and it just felt like my throat was getting tighter and tighter. that's when they got me on a stretcher and took me to the ER

Other Meds:

Current Illness: none

ID: 0919622
Sex: M
Age: 50
State: CO

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

Lab Data: it went away quickly so I did not call anyone including my doctor It is 5:09 pm now and I am still doing good

Allergies: none

Symptoms: i was driving and my left eye stopped tracking with my right eye. I had to pull over and let my daughter drive this lasted maybe 3 minutes . I have never had this happen before. I don't get sick or have issues I have never taken a sick day in 20 plus years and I am fairly healthy

Other Meds: lisinopril

Current Illness: none

ID: 0919623
Sex: F
Age: 39
State: AZ

Vax Date: 12/18/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID+ 12/24/2020

Allergies: None

Symptoms: Vaccinated at mass vaccination event for nursing home staff and residents on 12/18/2020. Developed cough, runny nose, sore throat, loss of taste and smell and tested positive for COVID-19 on 12/24/2020. Had exposure to COVID+ mother whom she takes care of.

Other Meds: None

Current Illness: None

ID: 0919624
Sex: F
Age: 29
State: PA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital: Y

Lab Data: no

Allergies: Penicillin

Symptoms: Around 10 or 11 pm, arm pain, chills, fatigue, headache, nausea, swollen lymph nodes, lightheadedness, fainted in tub. Next day, fatigue all day, couldn't talk, or eat. Went back to bed again. The following day hot flashes, weakness. went to ER. Felt like blood pressure was dropping, tingling in legs, difficulty lifting her head.

Other Meds: no

Current Illness: no

ID: 0919625
Sex: F
Age: 39
State: PA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: N/a

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 12-31-2020 Nausea & Headache, 1-1-2021 Headache 1-2-2021 Headache & shortness of breath, 1-3-2021 Headache, shortness of breath, fatigue,& cold sore on top lip, 1-4-2021 Headache, shortness of breath, cold sore, fatigue, and right shoulder blade and neck hurts.

Other Meds: Valtrex 1mg, topamax 200 mg, Wellbutrin 450mg, lorazepam .5mg, gabapentin 1200mg, trazadone 100mg

Current Illness: None

ID: 0919626
Sex: M
Age: 54
State: MI

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

Lab Data:

Allergies: Diverticulitis

Symptoms: Patient experienced hypotension (systolic 88mmHg), diaphoresis

Other Meds: Singulair, Testosterone, Zyrtec, Multivitamin

Current Illness:

ID: 0919627
Sex: F
Age: 51
State: AZ

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID+ 12/30/2020

Allergies: Ibuprofen - Rash Bactrim- Nausea

Symptoms: Staff member at nursing home vaccinated at mass vaccination event on 12/18/2020 for residents and staff. Developed headache, chills, diarrhea- muscle aches, joint aches on 12/29/2020 and tested positive for COVID-19 on 12/30/2020. Uneventful course isolating at home.

Other Meds: Metformin Insulin Glargine Cetirizine

Current Illness: None

ID: 0919628
Sex: F
Age:
State: OH

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

Lab Data: NOne. Symptoms subsided by 6AM 1/4/2021

Allergies: only allergy is to sulfa meds

Symptoms: symptoms started 6 hours after I took the vaccine. Symptoms included temp of 100.6, headache, malaise, joint aches. I had covid late May and gave blood, to the agency on December 18th. Report showed I had antibodies

Other Meds: none

Current Illness: none

ID: 0919629
Sex: F
Age: 51
State: OH

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

Lab Data:

Allergies:

Symptoms: 20 minutes after receiving the vaccination the resident started to not feel well. She said she felt very far away and just kept repeating I don't feel well. She was diaphoretic and her chest was very red and she kept scratching and rubbing it at it. I asked if she wanted IM Benadryl or epipen and she at first denied. She also said she felt like she needed to focus on her breathing. At this time we decided it was best to administer Epipen x 1 dose. Immediately after she felt better. She was observed for another 30 minutes and then went home. at 7:17pm I called and spoke with her. She said her arm was sore and that her oxygen levels were about 88-89% which is low for her but she said she felt fine and is currently working right now.

Other Meds:

Current Illness:

ID: 0919630
Sex: F
Age: 36
State: TX

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

Lab Data: None.

Allergies: None

Symptoms: Staff member reported itching to her neck and right axila 25 minutes after vaccine. She was given Benadryl 50mg IM to the left deltoid at 1331 and had resolution of symptoms in minutes.

Other Meds: None

Current Illness: IBS

ID: 0919631
Sex: M
Age: 36
State: TN

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Limited range of motion in left shoulder, referred to Orthopedic Surgeon.

Other Meds:

Current Illness:

ID: 0919632
Sex: F
Age:
State: NC

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

Lab Data:

Allergies: No

Symptoms: Muscle pain feeling Faint , sick stomach. Lower back pain , headache

Other Meds: Humors

Current Illness:

ID: 0919633
Sex: F
Age: 49
State: MS

Vax Date: 01/04/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital: Y

Lab Data: CT Head w/o contrast (12/31/20 @ 1813) READING: I see no evidence of hemorrhage, mass effect, abnormal attenuation, extra-axial lesions, ventriculomegaly or other suspicious intracranial pathology. Included paranasal sinuses, mastoids and middle ears are clear. Calvarium intact. IMPRESSION: no acute intracranial pathology Chest X-Ray (12/31/20 @ 1821) READING: No suspicious cardiomediastinal pathology. No infiltrates or other suspicious pulmonary or pleural pathology. I see no acute abnormality. CT Angiogram w/o contrast (12/31/20 @ 1816) READING: Both common carotid arteries and the vertebral arteries are patent and normal. Do not see any plaque or stenosis. Both carotid bifurcations are normal. The internal carotid arteries remain patent throughout the course without stenosis or occlusion in the basal artery is normal. Anterior posterior cerebral arteries widely patent without stenosis or occlusion. No arterial venous malformation or aneurysm or other vascular abnormalities. IMPRESSION: No arterial stenotic or occlusive disease of the head or neck EKC 12-Lead (12/31/20 @ 1728) Systolic Blood Pressure: 172 Diastolic Blood Pressure: 96 Vent Rate: 93 Atrial Rate: 93 PR Interval: 150 QRS Interval: 78 QT Interval: 356 QTC Interval: 442 P Axis: 66 R Axis: 25 T Axis: 22 CBC w/diff (12/31/20 @ 1845) WBC: 6.4 RBC: 5.28 Hemoglobin: 14.2 Hematocrit: 43.7 MCV: 82.8 MCH: 26.9 (L) MCHC: 32.5 RDW SD: 37.8 Platelet: 197 MPV: 11 (H) NRBC Percent: 0.0 NRBC Absolute: 0.000 Absolute Neutrophil: 4.9 Lymphocyte Absolute: 1.1 Monocytes Absolute, Automated: 0.38 Absolute Eosinophil: 0.07 Basophil Absolute: 0.05 Absolute Immature Granulocytes: 0.01 (H) Neutrophil percent: 75.2 (H) Lymphocyte percent: 16.8 (L) Monocyte percent: 5.9 Eosinophil percent: 1.1 Basophil percent: 0.8 Immature Granulocytes percent: 0.20 (H) CMP (12/31/20 @ 1845) Sodium: 138 Potassium: 3.9 Chloride: 105 CO2: 28 Anion gap: 5 (L) Glucose: 82 BUN: 19 (H) Creatinine: 0.88 BUN/Creatinine Ratio: 21.6 Calcium: 9.8 Protein total: 7.8 Albumin: 3.9 AST: 24 ALT: 23 ALP: 71 eGFR non-African American: >60.0 eGFR African American: >60.0 Bilirubin total: 0.8

Allergies: Latex gloves - Anaphylaxis Iodine - Swelling Shellfish - Unknown Oseltamivir - Unknown Tramadol - Itching, N/V

Symptoms: Presented to the ED with cc of left sided facial and LUE numbness and weakness x 1 days. Patient received her COVID-19 vaccination on 12/30/2020 around 1PM. Immediately after the injection in her left shoulder, she began to feel warmth and numbness in her left shoulder, arm, neck, face, and chest. She reports later experiencing nausea, palpitations, and left arm weakness. Her symptoms persisted, and her family noted a left sided facial droop which prompted her ED visit. In the ED, patient was noted to have some left sided facial droop and left arm and leg weakness. CT head and CTA showed no acute abnormalities. Tele-neurology was consulted who recommended admission to rule out acute stroke. Ultimately, work up was negative and symptoms resolved. Symptoms appear to be related to the vaccine.

Other Meds: Albuterol 90 mcg/actuation 2 puffs inhaled q4h prn sob/wheezing Aspirin EC 81 mg PO Daily Bupropion SR 150 PO Daily Calcium carbonate + Vitamin D 600mg PO Daily Cinnamon Bark 2 capsules PO Daily prn Clonazepam 0.5 mg PO Daily prn anxiety Cl

Current Illness: N/A

ID: 0919634
Sex: F
Age: 29
State: LA

Vax Date: 12/19/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 12/21 - negative COVID test result 12/23 - negative COVID test result

Allergies: Tomatoes, Citrus

Symptoms: 12/21 - Fever (101.5), lethargy, headaches 12/22 - lethargy and headaches 12/23 - lethargy and headaches

Other Meds: BuSpar, Lexapro, Xyzal, Trazadone, Synthroid

Current Illness: TMJ

ID: 0919635
Sex: F
Age: 50
State: AZ

Vax Date: 12/18/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID+ 12/28/2020

Allergies: None

Symptoms: Nursing home staff member vaccinated at mass vaccination event for nursing home residents and staff on 12/18/2020. Developed headache, cough, runny nose on 12/26/2020. Tested + for COVID-19 on 12/28/2020. Recovering well at home. No hospitalization or ED visits.

Other Meds: None

Current Illness: None

ID: 0919636
Sex: M
Age: 45
State: TX

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

Lab Data:

Allergies:

Symptoms: Sweating Deep cough Eyes burning Body aches

Other Meds:

Current Illness:

ID: 0919637
Sex: F
Age: 16
State: WI

Vax Date: 01/04/2020
Onset Date: 01/04/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse reaction - vaccine was administered to a employee that was 17 years of age

Other Meds:

Current Illness:

ID: 0919638
Sex: M
Age: 49
State: LA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Niacin rash

Symptoms: On December 23, 2020 she had the Pfizer COVID-19 vaccination at 7:30 p.m. She then worked her shift as a dialysis nurse and went home the following morning. She did not have any symptoms until 5:00 p.m. the following afternoon when she woke up. She developed itching of her back and a mild erythematous rash across her chest. That evening around 7:00 p.m. she noticed a rash on her arms that was itching. At 7:30 p.m. she had tightness in her chest and a nonproductive cough. She attributed the symptoms to her asthma. Her symptoms improved throughout the night. She went home on Christmas morning and went to bed. She woke up at around 5:00 p.m. She had swelling of her eyelids and an urticarial rash across her face and chest. She did have some mild throat itching. She reported to work at 7:00 p.m. but continued to have symptoms with increasing shortness of breath. She reported to the emergency department and was evaluated. She was given famotidine, Methylprednisolone, and hydroxyzine. She was also given ipratropium/albuterol nebulized. Her respiratory symptoms did improve, and she was discharged around midnight. She continued to have a slight erythematous rash that was present until she went to bed the following morning. When she woke up it had resolved.

Other Meds: Zyrtec Pantoprazole Cryselle Omnicef

Current Illness: URI diagnosed as "sinus infection". Chronic rhinitis, conjuctivits, and asthma, consider allergic. GERD.

ID: 0919639
Sex: F
Age: 45
State: MT

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tingling of face for a couple hours, starting 2 hours after vaccine, gone by the next day

Other Meds:

Current Illness:

ID: 0919640
Sex: F
Age: 26
State: TN

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: blood work--dehydration urine test catscan on head where I fell tests on heart to determine why blood pressure was so low

Allergies: Zithromax medro dose pack

Symptoms: got the shot around 11 am on 12/26 and my mouth became immediately parched. My arm was super sore as the day went on and around 4:30 am I woke up shivering with chills and aches and a mild temp of 99. Passed out and BP was extremely low. Parents called an ambulance and I went to Emergency room.

Other Meds: jolessa (birth control)

Current Illness: none

ID: 0919641
Sex: F
Age: 57
State: CA

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

Lab Data: None

Allergies: Tdap (Adacel)

Symptoms: While giving injection Vanish Point syringe malfunctioned and leaked at hub. Partial vaccine leaked down pt's arm. Approx 0.1 cc given IM . Full dose of 0.3 cc IM given.

Other Meds: Diovan 160mg/12.5mg

Current Illness: None

ID: 0919642
Sex: F
Age: 45
State: ME

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: No tests. 1/4/21 Employee Health evaluates and drew a perimeter with a pen around the site to keep track of growth of continued redness and inflammation.

Allergies: Codeine and Vicodin

Symptoms: 8 days after first vaccination site immediately below injection area in right arm became itchy, swollen, red and tender. Redness has been spreading.

Other Meds: Armour Thyroid

Current Illness: None

ID: 0919643
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies: Codeine, ceclor, amoxicillin, nexium, pseudophed

Symptoms: Tingling, numbness lips and tongue, tightness in throat. Benadryl taken

Other Meds: Omeprazole, famotidine, turmeric, vitamin d, vitamin c,

Current Illness:

ID: 0919644
Sex: F
Age: 55
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dec. 29: she developed arm soreness and joint pain. Dec. 30: she developed pain in chest area radiating towards the back Jan. 01: she noticed a rash in the mid abdomen radiating towards the back. She has been experiencing pain in the affected area.

Other Meds:

Current Illness:

ID: 0919645
Sex: F
Age: 50
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: grade 1 allergy to casein

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Vaccine received at 11:40 AM. At approximately 9pm I began to experience whole body chills, teeth chattering, and extreme fatigue. I took Ibuprofen and went to sleep. I experienced chills until approx 3 AM. My watch alerted my heart rate rose above 120 bpm three separate times during the night in the 1, 2 and 3:00 hours. Upon review of the summary it appears to have been sustained at just over 120 for that entire time. I awoke at noon, with a temp of approx 99.5 F, I felt extreme fatigue and a sense of cold but body was warm to touch and I was very sweaty this entire time. I slept most of the day and at 5 pm awoke with a temp of 102.4F. I contacted my physician who directed me to use tylenol and Benadryl. I took a dose at 5 pm, anther at 9 PM. Upon waking the next morning I was afebrile. At that time I felt slightly dizzy and lightheaded but also dehydrated. Forcing fluids relieved symptoms. I experienced a very mild headache and very mild queasiness as well.

Other Meds: Allegra, Singulair, Procardia XL, Lipitor, multivitamin

Current Illness: asthmatic bronchitis started 12/9. 12/9 Started zpac, prednisone taper (starting with 40mg) and albuterol nebulizer Q4hrs. Extended 10 day prenisone taper with 10 mg daily for 7 days per MD completed 12/25.

ID: 0919646
Sex: M
Age: 64
State: OH

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Lab Tests (1/3/2021): CBC CMP TSH Troponin-l Diagnostic Studies (1/3/2021): Chest AP 1V Chest X-ray EKG

Allergies:

Symptoms: Patient began having headache and fatigue 12/29. Early morning of 12/30 patient reported severe chills. Felt better during the day of 12/30 with only a headache. Night of 12/30 patient reported severe chills again and wanted to call the doctor in the morning, but the felt better on 12/31. The night of 12/31 patient again had chills, but less severe (rated 3/10 on scale). Night of 1/1 patient reported slight hive like rash that went away with warm Epsom salt bath. 1/3 0100 patient woke up with severe hives down back of legs and lower back. Got into a hot tub to soak and once the patient got out he was standing at the sink and passed out. His wife got him back to bed. Around 0700 on 1/3 patient woke up to urinate and he passed out again. He states both times he passed out felt the same stating "I felt like I was going to vomit and then all of a sudden I couldn?t breath, almost like I was choked out."

Other Meds:

Current Illness:

ID: 0919647
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies: Thimerosol, artificial sweeteners, msg, mushrooms, cats, rabbits, seasonal allergies

Symptoms: Lips started tingling

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm